FASTOCH:电子患者报告结果在癌症老年患者中的可行性-多中心前性研究
Mathilde Cancel1, Carine Sauger2, Julie Biogeau3
1Department of Medical Oncology, Regional University Hospital Center, Tours, France.
概括
由于技术障碍,对老年癌症患者进行远程电子患者报告结果 (ePRO) 监测的可行性有限 (26%) . 然而,在那些有互联网接入的人中,使用率很高 (66%),表明需要解决数字沟以改善癌症护理.
科学领域:
- 老年瘤学 老年瘤学
- 数字健康数字健康
- 患者报告的结果
背景情况:
- 众所周知,电子患者报告结果 (ePROs) 可以提高癌症患者的生存率和生活质量.
- 缺乏关于远程ePRO监测的前性数据,特别是在老年人群中,这是癌症患者的重要人口统计数据.
研究的目的:
- 评估75岁及以上正在接受活跃癌症治疗的患者远程ePRO监测的可行性.
- 确定影响这一人口群体采用和使用ePROs的因素.
主要方法:
- 一项前性多中心研究,涉及473名75岁以上的患者,正在接受活性抗癌治疗.
- 使用基于积极使用ePRO的意图测试 (ITT) 和每协议分析来评估可行性.
- 采用多变量分析来确定ePRO使用的预测因素.
主要成果:
- 在意向测试人群中,总体可行性为26%,233名患者的主要失败归因于缺乏互联网接入.
- 在ITT群体中的185名患者中,有122人积极使用ePROs,因此每个协议的可行性为66%.
- 具有互联网接入的患者和积极使用ePRO的患者报告了更好的一般健康状况.
结论:
- 远程ePRO监测在老年癌症患者中表现出有限的可行性 (26%),主要是由于互联网接入等技术障碍.
- 尽管面临挑战,但高比例 (66%) 的互联网接入的患者成功使用了ePROs.
- 解决技术障碍至关重要,以利用ePROs的好处,改善老年人癌症护理.
相关概念视频
01:11Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K
01:26Methods of Documentation II: POMR
941
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
941
01:30Methods of Documentation VII: EMR
832
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
832
01:21Cancer Survival Analysis
345
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
345